Diarrhea-causing bugs Flashcards

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1
Q

How does E. coli cause HUS?

A

HUS = simultaneous occurence of microangiopathic hemolytic anemia, thrombocytopenia, & AKI

Shiga toxin binds to receptors on glomerular and renal tubular epithelial and endothelial cells (also in pancreatic cells) → toxin-mediated injury of epithelial and endothelial cells → microvascular damage that promotes local thrombus formation and systemic thrombocytopeniaRBC shearing when they encounter microthrombimicroangiogenic hemolytic anemia → tissue ischemia and necrosis → acute kidney injury

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